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from: 11/19/�OOB 17:32 0810 P.002/003 <br />PERMIT APPLICATION 4z2"2 <br />�����CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX �� _�x) —CO i <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# I <br />881 l 9 AVE SE, EVERL'IT, WA 98208 00731000003500 �'� V�� �-G��% I <br />/ <br />LEGAL LOT NO. BLOCK ITRACT <br />DE <br />OWNER ADDRESS PHONE <br />MO�VER, [tICHARD PO �OX 3G37 (425)2G5-9975 <br />• EV&RL'1'T, WA 95208 <br />TENANT NAME CONTACT NAME P�iONE <br />Carol Randall 800-454-8955 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />1'ASf R�A"CER }iEATER COMPANY 12G01 132ND AVL' NE rpST\411�394SI3C <br />800-454-8955 K1I21CLAND, NA 9R034 �J1/0l�nOlO <br />PROPOSED USE OF BUlLDING eu�ia�no Mechanlca Addilion HEaT SOl1RC£ <br />PERMIT Combinatlon Plumbinp WORK , q��oration �]ElncMc <br />TypE Dcmolilion Sign T�PE Now as <br />rl r Ra nirRdaint thcr <br />CONTRACT PRICE OF WORK �q49.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTICiN Remove/Rcplace Gas �Vater Ileater <br />PLUMBING MECHANICAL <br />NO. PE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITF.M <br />� __ WATER CLOSET _____ AIC-A/HANDLING UNITS <br />__ BATHTUB ,�____ FORCEO AIR SYSTEMS <br />___ LAVATORY (WASH BASIN) ______ HEAT PUMP <br />, SHOWER _,__ UNIT HEATERS <br />___ KITCHEN SINK & DISPOSAL ____ CLOTHES DRYER <br />_ DISHWASHER __ _ RANGE NOOD <br />LAUNORY TRAY �1 WATER HEATER <br />! CLO7'HES WASHER _,__ METAL FIREPLACEISTOVE <br />_ URINAL ___,. FIREPLACE INSERT <br />_ ORINKING FOUNTAIN ^__ GAS FIREPLACE <br />� FLOOR DRAIN �_ GAS RANGE <br />__ BACKFLOW PREVENTER __ GAS PIPING <br />� SINK (EERVICEIBARIMOP/ETC.) ___ EXHAUST FAN <br />___ OTHER __ ______ OTNER_�__�_ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAM�NEO THIS APLICATION ANO KNOW 7 HE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIPlG THIS 7YPE QF WORK WILL BE COMPLIED WIHT WHET�IER SPECIFIEO MEREI <br />OR NOT. TNE OFANTING OF q pERM1T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE GR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGUtATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I A1d AUTHORIZEC <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPIY WITH THE STl1TE <br />CONTRACTORS LnW 18.27 RCW AND 298.20� WAC. � <br />Signature of OwnedContraccorlAuthorizud Agent � y,�,,�,���„�QP �ete ll/19/2008 <br />l <br />w�p¢i <br />